— 藥理與非經腸給藥 · HARD · MCQ —
護理師準備對一位第一型糖尿病病人給予長效型胰島素（Glargine）與短效型胰島素（Regular）。正確的護理行為為何？
A nurse is preparing to administer insulin glargine and regular insulin to a client with type 1 diabetes. What is the nurse's correct action?
- ADraw the glargine into the syringe first先將甘精胰島素吸入針筒
- BAdminister glargine 30 minutes before mealtime在進餐前30分鐘給予甘精胰島素
- CUse two separate syringes for administration✓ 正解使用兩支分開的針筒進行注射
- DMix the insulins in one syringe for convenience為求方便將兩種胰島素混合在同一針筒中
— Explanation · 中文詳解 —
甘精胰島素（Glargine）具有特殊的酸鹼值（pH值），與其他胰島素混合會導致沉澱，失去藥效。因此，Glargine 絕不能與任何其他胰島素或藥物混合在同一個針筒中。為了安全，必須使用兩個分開的針筒分別注射。
Insulin glargine has a unique pH that causes it to precipitate when mixed with other insulins, rendering it ineffective. Therefore, it must never be mixed in the same syringe with regular insulin or other medications. To ensure safety and efficacy, the nurse must prepare and administer glargine using a separate syringe.
✦ 台美臨床差異
台美皆遵循此藥理禁忌，實務上護理師需確認病人衛教是否清楚此原則。